Appeal Resolution Manager jobs in Fresno, CA

Appeal Resolution Manager manages the grievance process to review, investigate, document, process, negotiate, and resolve disputed medical, insurance, and other claims. Oversees work activity that is compliant with all regulatory guidelines and policy protocols. Being an Appeal Resolution Manager allocates team resources to ensure an effective and balanced case workload. Applies industry standards and uses best practices in the preparation of legal briefs. Additionally, Appeal Resolution Manager may represent the organization at hearings. Requires a bachelor's degree. Typically reports to a senior manager or head of a unit/department. The Appeal Resolution Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be an Appeal Resolution Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Occupational Therapist
  • Resolution Think LLC
  • Fresno, CA FULL_TIME
  • The clinician will support reconditioning and performance optimization and of the 138th Fighter Wing Aircrew through neck and back pain prevention resulting from extreme challenging physical demands of flight, while also monitoring, analyzing and resolving the physical readiness concerns commonly experienced both during and after flight operations. This includes issues in the neck, upper back, and lower back (cervical, thoracic, and lumbar spine).



    Responsibilities:

    • Perform initial evaluation, design individual training program, and establish records for all fighter aircrew personnel within required timeframe. Initial evaluation to be completed within 1 week of request. Follow-up appointments will be based on need, pre-habilitative plans, and any potential coordination with members’ military and/or civilian healthcare team.
    • Develop Individualized Program (IP) for each member served. The goal of the PT is to address these pressing concerns and to reduce frequency and severity of injuries and time lost from service, improve long term quality of life, optimize human performance/ readiness, avoid injury prior to occurrence, increase pilot production, and support pilot retention.
    • Determine the optimal time for each therapy visit and ensure as many of the fighter crew as practical receive therapy. This will involve assessing the greatest needs and implementing a schedule strategy to best meet the needs for massage therapy focusing on neck and back pain.
    • Advise Unit Commanders on matters related to injury prevention. Identify opportunities for improvement.
    • Conduct equipment, product, and literature reviews to ensure that the program continues to improve as the understanding of injury prevention needs evolves.
    • Confidentially communicate reporting to POC and 138FW Medical Personnel with strength and conditioning and pre-habilitation results. Tracking all data points of members and providing status report to include an aggregate number and status/metrics
    • Ensure safe and effective operation of equipment and contribute to a safe working environment.
    • To provide an evaluation and assessment to the Government POC and Flight Medicine Physician or other valid military medical provider within 15 calendar days following the initial appointment. Follow up appointments will be based on need, pre-habilitation plans, and any potential coordination with members’ military and/or civilian healthcare team.
    • To provide specific non-invasive biometric and physiological evaluations to all pilots. Following biometric and physiological evaluations, will provide strength, conditioning and flexibility services, specific to the spinal musculature.
    • Perform post-flight treatments to aircrew returning from daily flying exercises. Only using acceptable treatment methods that are preapproved by the Flight Medicine Physician and designed for the specific needs of each member with the ultimate goal of speeding up recovery times and enhancing the benefits received from the other forms of treatment they are being prescribed.
    • Record all members’ attended sessions and progress using standard commercial methods/practices and documentation on HIPAA compliant EMR. Will provide chart notes, for program services provided, upon the request of the flight medicine practitioner or the client’s medical practitioner
    • Manage client appointments schedules and responds to appointment request. Report all patients who fail to attend their scheduled appointments.

  • 1 Month Ago

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Co Manager - Garage Clothing - Aventura Mall - Aventura, FL
  • Garage Clothing - Co Manager -Fresno Fashion...
  • Fresno, CA FULL_TIME
  • Seize the opportunity to join a global fashion retailer with two brands at the heart of its success, Garage and Dynamite, selected as one of Montreal's Top Employers 2020 and as one of Canada’s Top em...
  • 21 Days Ago

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Co Manager - Garage Clothing - Fresno Fashion Fair Mall- Fresno Ca
  • Garage Clothing - Co Manager -Fresno Fashion Fair
  • Fresno, CA FULL_TIME
  • Seize the opportunity to join a global fashion retailer with two brands at the heart of its success, Garage and Dynamite, selected as one of Montreal's Top Employers 2020 and as one of Canada’s Top em...
  • 1 Month Ago

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Appeals Account Resolution Specialist (12 Month Roster)
  • Internal Revenue Service
  • Fresno, CA FULL_TIME
  • Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information. WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Visit us on the web at w...
  • 1 Month Ago

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Tax Examining Technician (Appeals Tax Examiner (Restricted Interest/Problem Resolution))12Mth Roster
  • Internal Revenue Service
  • Fresno, CA FULL_TIME
  • Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information. WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Visit us on the web at w...
  • 1 Month Ago

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Manager
  • Massage Envy
  • Clovis, CA OTHER
  • Overview We're looking for a leader who is passionate and success-driven. As a Manager at Massage Envy, you’ll lead with care and integrity and enjoy being a part of a nurturing team of experts promot...
  • 17 Days Ago

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0 Appeal Resolution Manager jobs found in Fresno, CA area

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Mid-Level Litigation Attorney (Hybrid)
  • Liebert Cassidy Whitmore
  • Fresno, CA
  • Liebert Cassidy Whitmore, with five offices spanning the Golden State, is the premiere law firm representing public agen...
  • 4/25/2024 12:00:00 AM

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Pharmacy Technician
  • OMNI FAMILY HEALTH
  • Fresno, CA
  • JOB SUMMARY: The Pharmacy Technician position is responsible for supporting and assisting the operation of the pharmacy ...
  • 4/25/2024 12:00:00 AM

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Emerging Store Manager
  • Walgreens
  • Fresno, CA
  • Supervises customer service associates and designated hitters. Responsible for managing front end of the store and makin...
  • 4/24/2024 12:00:00 AM

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Picker / Packer
  • Walmart
  • Fresno, CA
  • **Job Title: Picker/Packer** **Job Summary:** As a Picker/Packer at Walmart, you will play a critical role in the fulfil...
  • 4/24/2024 12:00:00 AM

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Order Picker
  • Walmart
  • Fresno, CA
  • **Job Summary:** As an Order Picker at Walmart, you will be responsible for accurately and efficiently selecting merchan...
  • 4/24/2024 12:00:00 AM

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Sales Associate
  • Express
  • Fresno, CA
  • Overview: About Express, Inc. Express, Inc. is a multi-brand fashion retailer whose portfolio includes Express, Bonobos ...
  • 4/22/2024 12:00:00 AM

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Mid-Level Litigation Attorney (Hybrid)
  • Liebert Cassidy Whitmore
  • Fresno, CA
  • Liebert Cassidy Whitmore, with five offices spanning the Golden State, is the premiere law firm representing public agen...
  • 4/21/2024 12:00:00 AM

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Plant Manager
  • Altium Packaging LLC
  • Fresno, CA
  • Location Address: 2875 S Elm Ave,, Fresno, California 93706 Work Shift: Salary Exempt (United States of America) Altium ...
  • 4/21/2024 12:00:00 AM

Fresno (/ˈfrɛznoʊ/ FREZ-noh; Spanish for "ash tree") is a city in California, United States, and the county seat of Fresno County. It covers about 112 square miles (290 km2) in the center of the San Joaquin Valley, the southern portion of California's Central Valley. Named for the abundant ash trees lining the San Joaquin River, Fresno was founded in 1872 as a railway station of the Central Pacific Railroad before it was incorporated in 1885. The city has since become an economic hub of Fresno County and the San Joaquin Valley, with much of the surrounding areas in the Metropolitan Fresno regi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Appeal Resolution Manager jobs
$93,743 to $121,831
Fresno, California area prices
were up 2.7% from a year ago

Appeal Resolution Manager in Racine, WI
General provisions on appeals are contained within CPR PD 52A.
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Appeal Resolution Manager in Lancaster, PA
All appeals must be submitted in writing to the RC within ten academic calendar days after notification of the Dean of Students’ decision to accept or modify the recommendations resulting from the hearing.
February 06, 2020
Appeal Resolution Manager in San Diego, CA
The Coalition recommended that its members consider resolutions to request the Commission on Marine Resources to go forward with scientific and engineering studies regarding the Pearl River water resource project and creation of the Western Sound Special Management District.
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